Ake sifunde ngenhlanganisela yemithi emithathu enikezwa izilonda zesisu? (i-Bismuth Subsalicylate; i-Metronidazole; i-Tetracycline)

Cishe unezilonda esiswini , udokotela akutshele ukuthi zibangelwa yibhaktheriya ebizwa ngokuthi i-H. pylori . Ngakho-ke namuhla sizokhuluma ngenhlanganisela ekhethekile yemithi enikezwa ukubulala leli bhaktheriya. Kunezinhlobo ezintathu zemithi kulokhu. Ngakho-ke kunezinto okufanele uziqaphele uma usebenzisa lokhu. Ake sikubheke ngokuningiliziwe.

Uyini ngempela lo muthi? (Uyini lo muthi?)

Kalula nje, le nhlanganisela yemithi emithathu, i-Bismuth Subsalicylate , i-Metronidazole, kanye ne-Tetracycline , isetshenziselwa ukwelapha izilonda esiswini sakho noma emathunjini amancane. Lezi zilonda zivame ukubangelwa yibhaktheriya ebizwa ngokuthi i-H. pylori. Le nhlanganisela isebenza ngokubulala noma ukuvimba ukukhula kwamagciwane. Iqukethe i-salicylate , i -antibiotic ebizwa ngokuthi i-tetracycline, kanye nenye i-antibiotic ebizwa ngokuthi i-metronidazole. Kungenzeka ukuthi uke wezwa ngayo ngaphansi kwegama lomkhiqizo i-Helidac. Odokotela bangasebenzisa le mithi ngezinye izinjongo. Uma unemibuzo ngayo, buza udokotela wakho noma usokhemisi .

Yiziphi izinto okudingeka uzitshele udokotela wakho ngaphambi kokuthatha lo muthi?

Ngaphambi kokuba uqale ukuthatha lo muthi, kubalulekile ukutshela udokotela wakho uma unezinye zezimo ezilandelayo. Lezi zibaluleke kakhulu:

• Uma unesifo esingavamile sofuzo njenge-Cockayne syndrome.
• Uma uke waba nenkinga yegazi ngaphambili, isibonelo, i-sickle cell anemia , i-anemia, noma i-leukemia.
• Uma uphuza njalo.
• Uma okwamanje unesifo, ikakhulukazi isifo esibangelwa yigciwane, njenge-chickenpox, izilonda zomkhuhlane, noma i-herpes.
• Uma unenkinga yokushaya kwenhliziyo okungajwayelekile noma enye inkinga yesigqi senhliziyo.
• Uma unesifo sezinso.
• Uma unesifo sesibindi.
• Uma utshelwe ukuthi unenani eliphansi lamaseli egazi.
• Uma usanda kuthola noma yimuphi umuthi wokugoma, noma uhlela ukuwuthola esikhathini esizayo.
• Uma unesifo sokuwa.
• Uma une-ndindisholo ezithweni zakho noma esinye isifo sezinzwa.
• Uma une-allergy ezingxenyeni zale mithi (i-bismuth subsalicylate), (i-metronidazole), (i-tetracycline), noma eminye imithi, ukudla, amadayi okwenziwa, noma izithasiselo.
• Uma ukhulelwe noma uzama ukukhulelwa.
• Uma ungumama oncelisayo.

Kubaluleke kakhulu ukuze uphephe ukwazisa udokotela wakho ngalezi zinto.

Ngingawusebenzisa kanjani lo muthi?

Lomuthi kufanele uphuzwe nengilazi egcwele yamanzi. Kungcono ukuwuthatha ngesikhathi esifanayo nsuku zonke, njengoba kuqondiswe kwilebula kadokotela. Ungalokothi uyeke ukuthatha lo muthi ngaphandle kweseluleko sikadokotela wakho. Kubalulekile ukuthatha umuthi kuze kube yilapho usuqedile ukwelashwa, noma ngabe uzizwa ungcono.

Futhi, uma uthatha eminye imikhiqizo equkethe `(aluminium)`, `(calcium)`, `(iron)`, `(magnesium)` noma `(zinc)` (isb. `antacids`, amanye amavithamini), ungayithathi ngesikhathi esifanayo nale mithi. Okusho ukuthi, thatha eminye amahora ambalwa ngaphambi noma ngemva kokuthatha le mithi. Uma udinga ulwazi olwengeziwe ngalokhu, buza udokotela wakho.

Okubalulekile: Lo muthi awuvunyelwe ukusetshenziswa ezinganeni. Ngakho-ke, ungawuniki izingane zakho.

Kuthiwani uma uphuza umuthi omningi kakhulu? Uma ucabanga ukuthi usuphuze umuthi omningi kakhulu, iya ekamelweni lezimo eziphuthumayo esibhedlela esiseduze ngokushesha, noma ushayele isikhungo sokulawula ubuthi.

Okunye futhi: Lo muthi unikezwe wena kuphela. Ungawuniki omunye umuntu nganoma yisiphi isizathu , noma ngabe unezimpawu ezifanayo nawe.

Wenzani uma uphuthelwa isikhathi sokubonana nodokotela?

Uma uphuthelwa umthamo, thatha ngokushesha nje lapho ukhumbula. Kodwa-ke, uma sekuyisikhathi somthamo wakho olandelayo, yeqa umthamo ophuthelwe bese uthatha umthamo wakho olandelayo ngesikhathi esihleliwe. Ungalokothi uthathe imithamo emibili ngesikhathi esisodwa.

Yimiphi eminye imithi engasebenzisana nalo muthi?

Leli iphuzu elibaluleke kakhulu. Eminye imithi ingabangela izinkinga uma ithathwa ngalo muthi.

Izinto okungafanele uzithathe ngalo muthi:

Uma usebenzisa imithi elandelayo, ungayithathi le nhlanganisela `(i-Bismuth Subsalicylate; i-Metronidazole; i-Tetracycline)`:

• `(I-Acitretin)`
• Utshwala noma yimuphi umkhiqizo oqukethe utshwala (ama-syrups nama-mouthwash athile nawo angase abe notshwala)
• `(Cisapride)`
• `(Disulfiram)`
• `(Dronedarone)`
• `(Ketorolac)`
• `(Pimozide)`
• `(I-Probenecid)`
• `(I-Thioridazine)`

Ezinye izinto ezingasebenzisana nalo muthi zifaka:

Futhi, okulandelayo kungasebenzisana nalo muthi:

• Ama-antacid, amavithamini, noma eminye imikhiqizo equkethe i-aluminium, i-calcium, i-iron, i-magnesium, noma i-zinc (sesivele sikhulume ngokuthi kufanele siwathathe nini lawa, akunjalo?)
• `(Busulfan)`
• Eminye imithi evimbela ukujiya kwegazi, isibonelo `(warfarin)`
• `(I-Cimetidine)`
• Ama-hormone e-estrogen noma e-progestin (njengamaphilisi okuvimbela inzalo)
• `(I-Lithium)`
• Eminye imithi ethinta isigqi senhliziyo
• `(I-Phenobarbital)`
• `(Phenytoin)`

Lolu hlu lungase lungahlanganisi konke. Ngakho-ke, tshela udokotela wakho ngayo yonke imithi oyithathayo (uDkt. Deepua, othengiswa ngaphandle kwemithi kadokotela), imikhiqizo yamakhambi, amavithamini, kanye nezithasiselo zokudla ozisebenzisayo, kanye nokuthi uyabhema, uphuza utshwala, noma usebenzisa ezinye izidakamizwa. Ezinye izinto zingathintana nemithi yakho.

Yiziphi izinto okufanele uziqaphele lapho uthatha umuthi?

• Uma izimpawu zakho zingathuthuki, noma uma zibonakala ziba zimbi kakhulu, tshela udokotela wakho ngokushesha.
• Uma unesifo sohudo, ungathengi nje umuthi ekhemisi bese uwuthatha. Uma unesifo sohudo isikhathi esingaphezu kwezinsuku ezimbili, noma uma isifo sohudo sibi kakhulu futhi sinamanzi, khuluma nodokotela wakho.
• Ngesikhathi uthatha lo muthi, isikhumba sakho singase sibe nomuzwa omncane elangeni. Lokhu kusho ukuthi isikhumba sakho sizoba bomvu futhi sishise ngokushesha uma uselangeni kunangaphambili. Ngakho-ke qaphela ilanga elinamandla ngangokunokwenzeka. Uma uphuma, gqoka izingubo ezimboza isikhumba sakho, bese usebenzisa 'i-sunscreen' enhle. Ukusebenzisa 'izibani zelanga' kanjalo nokuya 'emibhedeni yokuthanjiswa' akuwona umqondo omuhle okwamanje.
• Uma usebenzisa ama-hormone e-estrogen kanye/noma e-progestin (njengamaphilisi okulawula ukubeletha) ekulawuleni ukukhulelwa, ukusebenza kwalawo ma-hormone kungancipha ngenkathi uthatha lo muthi. Ngakho-ke, kungcono ukusebenzisa olunye uhlobo lokulawula ukukhulelwa, njengekhondomu noma i-diaphragm, ngenkathi uthatha lo muthi kanye nezinsuku ezimbalwa ngemva kwalokho. Khuluma nodokotela wakho ngalokhu.
• Eminye imikhiqizo ingaba notshwala. Buza udokotela wakho noma usokhemisi ukuthi umuthi owuthathayo uqukethe utshwala. Eminye imithi, njenge-`(Metronidazole)` (efakiwe kulo muthi) kanye ne-`(Disulfiram)`, ingabangela ukusabela okungathandeki kakhulu uma ithathwa notshwala. Ungase ube nokushaqeka, ikhanda elibuhlungu, isicanucanu, ukuhlanza, ukujuluka, kanye nokoma okukhulu. Lokhu kusabela kungahlala kusukela kumaminithi angu-30 kuya emahoreni amaningana. Ngakho-ke, gwema ukuphuza utshwala ngokuphelele ngenkathi uthatha lo muthi.

Yimiphi imiphumela emibi engaba khona yalo muthi?

Njenganoma yimuphi umuthi, lokhu kungabangela eminye imiphumela emibi, yize kungebona bonke abantu abayitholayo.

Imiphumela emibi okufanele utshele udokotela wakho ngayo ngokushesha:

Uma kwenzeka into efana nale, tshela udokotela wakho ngokushesha okukhulu:

• Ukusabela kokungezwani komzimba: ukuqubuka kwesikhumba, ukulunywa, amaqhubu (amaqhubu amakhulu), ukuvuvukala kobuso, izindebe, ulimi noma umphimbo.
• Ukuzizwa sengathi ulahlekelwa yibhalansi yakho lapho uhamba, ukudideka, nobunzima bokukhuluma.
• Ikhanda elibuhlungu elizwakala njengokucindezela okukhulu okuzungeze ubuchopho, ukubona okufiphele, izinguquko embonweni, isicanucanu, nokuhlanza.
• Ubuhlungu, ukuba ndikindiki, noma ukulahlekelwa yimizwa ezithweni, ubuthakathaka bemisipha, ubunzima bokuhamba, ukulahlekelwa yibhalansi.
• Ukuqubuka kwesikhumba, umkhuhlane, kanye nokuvuvukala kwama-lymph node.
• Ukubomvu kwesikhumba, ukuqubuka, ukuxebuka kwesikhumba, izilonda emlonyeni.
• Ukuquleka.
• Uhudo olunzima, umkhuhlane.
• Abesifazane bangase babe nokukhishwa kwamanzi okungajwayelekile esithweni sangasese sowesifazane, ukulunywa, noma iphunga elibi.

Imiphumela emibi evame ukungabi mibi kakhulu, kodwa okufanele ibikwe kudokotela wakho uma iqhubeka:

Lokhu ngokuvamile akukubi kangako, kodwa uma kuqhubeka noma kukukhathaza, tshela udokotela wakho:

• Indle emnyama (lokhu kungabangelwa yi-bismuth, kodwa ngokuvamile akuyona ingozi).
• Ukushintsha kombala wamazinyo.
• Ulimi olumnyama noma olumnyama.
• Uhudo (ngaphandle uma lubi kakhulu).
• Ukuzwa ukunambitheka kwensimbi emlonyeni.
• Isicanucanu.
• Ukuzwela ukukhanya (njengoba kushiwo ngaphambili, qaphela lapho uphuma elangeni).

Lolu hlu lungase lungahlanganisi yonke imiphumela emibi engaba khona. Uma ubona noma yini engavamile, xhumana nodokotela wakho.

Kufanele uwugcine kanjani umuthi wakho?

• Gcina lo muthi kude nezingane nezilwane ezifuywayo .
• Gcina ekamelweni lokushisa (phakathi kwama-degree Celsius angu-20 no-25, phakathi kwama-degree Fahrenheit angu-68 no-77).
• Ungayisebenzisi imithi ephelelwe yisikhathi (ngemuva "kosuku lokuphelelwa yisikhathi"), yilahle.

Ngingayilahla kanjani imithi engasetshenziswanga noma ephelelwe yisikhathi?

• Uma kungenzeka, nikeza lo muthi endaweni "enohlelo lokubuyisela imithi emuva." Ungabuza ikhemisi lakho noma amaphoyisa ngezindawo ezinjalo.
• Uma lokho kungenzeki, hlola ilebula elisephaketheni lemithi ukuze ubone ukuthi kufanele yini ilahlwe emgqonyeni kadoti noma ilahlwe endlini yangasese. Uma ungaqiniseki, buza udokotela wakho noma usokhemisi.
• Uma ithi kuphephile ukulahla udoti, khipha umuthi ebhodleleni noma ephaketheni, uwuxube nento efana nodoti wekati, inhlabathi, noma ikhofi eligayiwe, faka ingxube esikhwameni noma esitsheni, uyivale kahle, bese uyiphonsa kudoti.

Into ebaluleke kakhulu okufanele uyikhumbule ukuthi

Kulungile, ngakho-ke nazi ezinye izinto okudingeka uzikhumbule kulokho esikhulume ngakho:

Le nhlanganisela yemithi `(Bismuth Subsalicylate; Metronidazole; Tetracycline)` isetshenziselwa ukwelapha izilonda zesisu ezibangelwa yibhaktheriya `(H. pylori)`. Kubaluleke kakhulu ukuthatha lo muthi isikhathi sonke njengoba kunqunywe udokotela wakho. Ungakhohlwa ukutshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo noma ezinye izifo onazo. Qaphela imiphumela emibi bese utshela udokotela wakho uma unezinkinga. Gwema ukuthatha lo muthi notshwala.

Leli phepha lolwazi liyisifinyezo kuphela. Lingase lingabi nayo yonke imininingwane. Uma uneminye imibuzo mayelana nalo muthi, khuluma nodokotela wakho, usokhemisi, noma umhlinzeki wezempilo.

I- H. pylori, izilonda zesisu, i-bismuth subsalicylate, i-metronidazole, i-tetracycline, i-Helidac, imiphumela emibi yemithi, ukusebenzisana kwemithi